ALEXIS ROAD FAMILY DENTAL AMBER R. LEER DDS LLC NPI 1083223192

NPI Information

NPI: 1083223192
Provider Name: ALEXIS ROAD FAMILY DENTAL, AMBER R. LEER DDS, LLC
Classification: Clinic/Center - 261QD0000X
Entity Type: Organization

Specialization: Dental

Address:
4640 W ALEXIS RD STE 200
TOLEDO, OH
ZIP 43623
Phone: (419) 471-1208
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ALEXIS ROAD FAMILY DENTAL, AMBER R. LEER DDS, LLC is a dental clinic center in Toledo, OH. ALEXIS ROAD FAMILY DENTAL, AMBER R. LEER DDS, LLC NPI is 1083223192. The provider is registered as an organization entity type.

The provider's business location address is:

4640 W ALEXIS RD STE 200
TOLEDO, OH
ZIP 43623-182
Phone: (419) 471-1208

The provider's authorized official is Tabatha Pierce .
The authorized official title is Office Manager and has the following contact phone number (419) 471-1208.

The enumeration date for this NPI number is 7/24/2020 and was last updated on 7/29/2020.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	261QD0000X	Clinic/Center	Dental			Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	1346867132	OTHER	OHIO	NIP

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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